Evidence map›Paper›PMID 41555725›Full record

ArticleAdvanced healthcare materials2026

Targeting the ARRDC3-DRP1 Axis via hUMSC-Derived Exosomal CRYAB for Neuroprotection in Cerebral Ischemia/Reperfusion Injury.

Rong Ji, Zengyu Zhang, Zhuohang Liu, Kaicheng Yang, Xueyu Mao, Min Chu, Yong Wang, Jing Zhao

Abstract read
In one paragraph

Article in Advanced healthcare materials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rong JiDepartment of Neurology, Minhang Hospital, Fudan University, Shanghai, China.
Zengyu ZhangDepartment of Neurology, Minhang Hospital, Fudan University, Shanghai, China.
Zhuohang LiuDepartment of Rehabilitation Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Kaicheng YangDepartment of Neurology, Minhang Hospital, Fudan University, Shanghai, China.
Xueyu MaoDepartment of Neurology, Minhang Hospital, Fudan University, Shanghai, China.
Min ChuDepartment of Geriatrics, Shanghai Geriatric Medical Center, Shanghai, China.
Yong WangDepartment of Neurology, Zhongshan Hospital, Fudan University, Shanghai, China.
Jing ZhaoDepartment of Neurology, Minhang Hospital, Fudan University, Shanghai, China.ORCID https://orcid.org/0000-0001-5197-9181

Funding

China Postdoctoral Science Foundation 2024M750535National Natural Science Foundation of China 82173646National Natural Science Foundation of China 82373703National Natural Science Foundation of China 82501570Public Health Discipline Construction Project of Shanghai Minhang District Health Commission MGWXK2023-04
6 · The paper itself

Abstract

Cerebral ischemia/reperfusion injury (CIRI) remains a major clinical challenge due to the lack of effective neuroprotective strategies. Here, hUMSC-derived exosomes (H-Exo) were isolated and administered intranasally (15 µg/mouse/day for 3 days) in a mouse middle cerebral artery occlusion/reperfusion (MCAO/R) model. Animals were randomly assigned to three groups: Sham, MCAO/R, and H-Exo-treated MCAO/R mice. H-Exo efficiently penetrated the blood-brain barrier, accumulated within the ischemic penumbra, and was internalized by neurons and glial cells. Treatment with H-Exo markedly improved neurological function both in vivo and in vitro. Mechanistically, H-Exo inhibits neuronal ferroptosis by preserving mitochondrial dynamics and alleviating oxidative stress. Transcriptomic analysis identified ARRDC3 as a previously unrecognized ferroptosis-associated gene that was upregulated after ischemia but suppressed by H-Exo treatment. ARRDC3 exacerbates neuronal ferroptosis by promoting Drp1-dependent mitochondrial fragmentation. Proteomic profiling further identified CRYAB as an abundant exosomal cargo mediating the neuroprotective effects of H-Exo. Pharmacological inhibition of CRYAB with NCI-41356 partially reversed the anti-ferroptotic effects of H-Exo, confirming its essential role. Collectively, this study reveals the CRYAB-ARRDC3-Drp1 axis as a key regulator linking mitochondrial dynamics to ferroptosis and highlights H-Exo as a promising non-invasive therapeutic approach for ischemic stroke.

Indexed as

Brain IschemiaDynaminsExosomesNeuroprotectionNeuroprotective AgentsReperfusion InjuryAnimalsFerroptosisHumansInfarction, Middle Cerebral ArteryMaleMiceMice, Inbred C57BLMitochondriaNeuronsOxidative StressDnm1l protein, mouseDynaminsNeuroprotective AgentsARRDC3/DRP1 axiscerebral ischemia‐reperfusion injuryexosomesferroptosismitochondrial dynamics

Identifiers

PMID41555725
PMCPMC13068360

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.